Provider Demographics
NPI:1376557843
Name:TALWAR, SHEFALI (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEFALI
Middle Name:
Last Name:TALWAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3130 ALPINE ROAD
Mailing Address - Street 2:SUITE 288 PMB 264
Mailing Address - City:PORTOLA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94028-7541
Mailing Address - Country:US
Mailing Address - Phone:650-897-4554
Mailing Address - Fax:650-897-4542
Practice Address - Street 1:1820 OGDEN DRIVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-5384
Practice Address - Country:US
Practice Address - Phone:650-897-4554
Practice Address - Fax:650-897-4542
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA86303207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A863030Medicaid
00A863032Medicare PIN
CAH81127Medicare UPIN